Provider Tech Support Analyst II

Horizon Healthcare Services•Newark, NJ

About The Position

This position supports Network Data Management and departments that use provider data, including screening provider loading and coordinating procedural aspects of Government Programs provider systems. The role helps maintain accurate, complete, and timely Government Programs provider data files; investigates data integrity incidents; supports system enhancements; and handles sensitive projects requiring close attention. It also contributes to process improvements, departmental reporting, vendor audits, and workgroups or committees.

Requirements

High school diploma or GED.
At least 5 years of relevant work experience in provider data management in healthcare or insurance.
Valid driver's license and access to an automobile.
Proficiency with personal computers and supporting software in a Windows-based environment, including Microsoft Word, Excel, PowerPoint, and Outlook; knowledge of intranet and internet applications.
Excellent attention to detail and analytical abilities, including the ability to report findings accurately.
Excellent oral and written communication skills.
Ability to interact with personnel and management at all levels.
Ability to organize and prioritize work assignments.
Ability to work independently and exercise sound business judgment.

Nice To Haves

Comprehensive understanding of healthcare.
Understanding of healthcare provider and claims systems.
Understanding of indemnity and managed care business and procedures.
Ability to understand medical terminology and medical procedures.

Responsibilities

Assist with direction and supervision of Provider File Area activities to ensure accurate, complete, and timely maintenance of Government Programs provider data files.
Resolve provider data errors by identifying causes, recommending improvements, identifying strengths, and documenting best practices.
Investigate incidents affecting data integrity and programs to support trend and vulnerability analysis.
Assist in preparing, developing, and analyzing specifications for system enhancements and modifications so provider files integrate with current and planned systems.
Develop specifications and user testing criteria and secure appropriate documentation to ensure accurate data in files.
Evaluate and recommend improvements to operating procedures to enhance efficiency and controls.
Handle important or sensitive projects and priorities requiring a high degree of attention.
Produce departmental quality and production reports, including vendor audits.
Represent the department on workgroups and committees.
Perform other duties as assigned by management.